Supervisor, Insurance Billing
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Natera
Summary
Join Natera, a global leader in cell-free DNA testing, as a Supervisor, Insurance Billing. Lead and mentor a team of 6-15 Insurance Billing Specialists, optimizing insurance claim submissions and reducing rejections. This role requires a balance of operational oversight and project work focused on timely filing and workflow improvements. You will develop and execute strategies for timely filing and denial reduction, oversee appeals, and implement new processes. The ideal candidate possesses extensive experience in claims management, denials, and revenue cycle processes. This remote position offers competitive benefits and opportunities for professional growth within a dynamic healthcare company.
Requirements
- 5+ years of experience in medical insurance billing, claims submissions, and revenue cycle management
- 3+ years of leadership/supervisory experience in a high-volume billing environment
- Strong experience with claims, denials, rejections, and appeals
- Familiarity with payer-specific requirements and claim submission processes
- Advanced Excel skills (pivot tables, formulas, data analysis, reporting)
- Proficiency in AdvanceMD or similar billing platforms
- Strong understanding of payer claim requirements, reimbursement processes, and revenue cycle workflows
- Experience implementing new billing workflows and process improvements
- Knowledge of HIPAA, CMS regulations, and insurance billing compliance standards
- Strong leadership and team management skills
- Analytical mindset with experience in data-driven decision-making
- Ability to coordinate cross-functional teams (onshore & offshore)
- Excellent problem-solving and communication skills
- High attention to detail with a commitment to accuracy and compliance
Responsibilities
- Supervise and mentor a growing team of 6-15 Insurance Billing Specialists
- Ensure timely claim submissions and a high percentage of clean claims upon first submission
- Monitor and drive efficiency in denial reduction, timely filing, and claim rejection resolution
- Balance production-based tasks (rejections, clean claims) with results-driven goals (timely filing, workflow improvements)
- Coordinate efforts between onshore and offshore teams to optimize billing workflows
- Conduct performance reviews, provide coaching, and identify training opportunities
- Develop and execute strategies for timely filing and reducing denials and rejections
- Oversee appeals and dispute resolution to maximize insurance reimbursement
- Implement new processes to improve payer-specific claim submissions
- Monitor Explanation of Benefits (EOBs) to analyze trends and improve billing accuracy
- Ensure compliance with payer claim requirements and revenue cycle best practices
- Generate reports, track performance metrics, and identify process inefficiencies
- Lead initiatives to create and implement new workflows and operational improvements
- Work with IT and Revenue Cycle teams to integrate API/HL7 functionalities
- Analyze claim rejection trends and develop corrective action plans
- Stay up to date with payer guidelines, industry regulations, and best practices in insurance billing
Preferred Qualifications
Experience in API/HL7 integrations for billing process improvements is a plus
Benefits
- Comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents
- Natera employees and their immediate families receive free testing in addition to fertility care benefits
- Pregnancy and baby bonding leave
- 401k benefits
- Commuter benefits
- Generous employee referral program